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POS Agents Application
POS Agents Application
Personal Details
First Name
*
Last Name
*
WhatsApp Number
*
0 / 11
Date of Birth
*
BVN
*
0 / 11
Home Address
*
Residential or House Address
Local Government Area
*
The Local Government Area or LCDA or City or Town where you reside
State
*
State of Residence
Gender
Male
Female
Marital Status
Single
Married
Single Parent
Widowed
Employment Status
Unemployed
Self Employed
Employed
How much do you earn per month
0 or Less than 5000
5000-10,000
10,000 -50,000
Above 50,000
Any disability ?
Yes
No
Upload a Valid ID Card
*
Drag and Drop (or)
Choose Files
Accepted cards are : NIN Slip,Drivers License,International Passport,Voters Card
Upload a Utility Bill
*
Drag and Drop (or)
Choose Files
Accepted bills include : Electricity bills,Waste bills, etc
Upload Your Picture
*
Drag and Drop (or)
Choose Files
Business Information
Proposed Business Name for your POS business
*
Submit
Please do not fill in this field.